FORM 1023-EZ for WESTERN LAKES FIRE EMS ASSOCIATIONINC

Field Data
EIN 81-0822168
Case Number EO-2017242-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN LAKES FIRE EMS ASSOCIATIONINC
Organization’s Mailing Address 1400 OCONOMOWOC PARKWAY
City OCONOMOWOC
State WI
ZIP 53066
Accounting period End 12
Primary contact name LOUIS MORGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE GARTZKE
PRESIDENT
1400 OCONOMOWOC PKWY
OCONOMOWOC WI 53066

Officer/Director/Trustee Two

RICHARD KRAHN
TREASURER
1400 OCONOMOWOC PKWY
OCONOMOWOC WI 53066

Officer/Director/Trustee Three

BRAD BOWEN
CHAIRMAN
1400 OCONOMOWOC PKWY
OCONOMOWOC WI 53066

Officer/Director/Trustee Four

LOUIS MORGAN
DIRECTOR
1400 OCONOMOWOC PKWY
OCONOMOWOC WI 53066

Officer/Director/Trustee Five

MIKE KRUG
DIRECTOR
1400 OCONOMOWOC PKWY
OCONOMOWOC WI 53066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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